| Regimental number | 4177 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Uncle, Arthur Mancer, Lawrence Street, Alexandria, Sydney, New South Wales |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 19 October 1917 |
